Gastrografin oral contrast solution at West Shoshone Hospital District

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HOCM 350-399MG/ML IODINE,1ML

Kellogg, ID

See all hospitals reporting HCPCS Q9963 →

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Pricing by billing methodology

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How this price compares nationally

West Shoshone Hospital District’s median price of $138 is 4246% above the median hospital's median price ($3), higher than 91% of the 1,837 hospitals reporting HCPCS Q9963. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q9963 at West Shoshone Hospital District

Negotiated rates from the hospital’s own file: 6 payers, 12 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Regence commercial professional · case rate · outpatient	$0	$0	—	—	—	$0 – $0
2	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	1–10	$20 – $20
3	Bcbs Id medicare advantage facility · fee schedule · both	$85	$85	$23	27%	—	$62 – $108
4	UnitedHealthcare medicare advantage facility · fee schedule · both	$85	$85	$23	27%	—	$62 – $108
5	Aetna medicare advantage facility · fee schedule · both	$111	$111	$30	27%	—	$81 – $140
6	Aetna auto facility · fee schedule · both	$139	$139	$37	27%	—	$102 – $176
7	Aetna work comp facility · fee schedule · both	$139	$139	$37	27%	—	$102 – $176
8	Aetna commercial facility · fee schedule · both	$178	$178	$48	27%	—	$131 – $226
9	Cigna commercial facility · fee schedule · both	$188	$188	$50	27%	—	$138 – $238
10	MultiPlan commercial facility · fee schedule · both	$188	$188	$50	27%	—	$138 – $238
11	Regence commercial facility · fee schedule · both	$188	$188	$50	27%	—	$138 – $238
12	UnitedHealthcare commercial facility · fee schedule · both	$188	$188	$50	27%	—	$138 – $238

Last updated: Sep 29, 2026

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